O ire Prevention Algorithm - Anesthesia Patient …NO YES YES NO YES NO S t a r t H e r e Is patient...

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NO YES YES NO YES NO S t a rt H e r e Is patient at risk for surgical fire? Procedures involving the head, neck and upper chest (above T5) and use of an ignition source in proximity to an oxidizer. Proceed, but frequently reassess for changes in fire risk. Use room air sedation. Use delivery device such as a blender or common gas outlet to maintain oxygen below 30%. Does patient require oxygen supplementation? Nurses and surgeons avoid pooling of alcohol-based skin preparations and allow adequate drying time. Prior to initial use of electrocautery, communication occurs between surgeon and anesthesia professional. Is >30% oxygen concentration required to maintain oxygen saturation? Secure airway with endotracheal tube or supraglottic device. Although securing the airway is preferred, for cases where using an airway device is undesirable or not feasible, oxygen accumulation may be minimized by air insufflation over the face and open draping to provide wide exposure of the surgical site to the atmosphere. Provided as an educational resource by the The following organizations have indicated their support for APSF’s efforts to increase awareness of the potential for surgical fires in at-risk patients: American Society of Anesthesiologists, American Association of Nurse Anesthetists, American Academy of Anesthesiologist Assistants, American College of Surgeons, American Society of Anesthesia Technologists and Technicians, American Society of PeriAnesthesia Nurses, Association of periOperative Registered Nurses, ECRI Institute, Food and Drug Administration Safe Use Initiative, National Patient Safety Foundation, The Joint Commission Copyright ©2014 Anesthesia Patient Safety Foundation www.apsf.org Anesthesia Patient Safety Foundation

Transcript of O ire Prevention Algorithm - Anesthesia Patient …NO YES YES NO YES NO S t a r t H e r e Is patient...

Page 1: O ire Prevention Algorithm - Anesthesia Patient …NO YES YES NO YES NO S t a r t H e r e Is patient at risk for surgical fire? Procedures involving the head, neck and upper chest

NO

YES

YES

NO

YES

NO

Start

Here

Is patient at risk for surgical fire?

Procedures involving the head, neck and upper chest (above T5) and use of an ignition source in

proximity to an oxidizer.

Proceed, but frequently reassess for

changes in fire risk.

Use room air sedation.

Use delivery device such as a blender or common gas outlet to maintain oxygen below 30%.

Does patient require oxygen

supplementation?

Nurses and surgeons avoid pooling of alcohol-based skin preparations and allow adequate drying time. Prior to initial use of electrocautery, communication occurs between surgeon and anesthesia professional.

Is >30% oxygen concentration

required to maintain oxygen saturation?

Secure airway with endotracheal tube or supraglottic device.

Although securing the airway is preferred, for cases where using an airway device is undesirable or not feasible, oxygen accumulation may be minimized by air insufflation over the face and open draping to provide wide exposure of the surgical site to the atmosphere.

Provided as an educational resource by the The following organizations have indicated their support for APSF’s efforts to increase awareness of the potential for surgical fires in at-risk patients: American Society of Anesthesiologists, American Association of Nurse Anesthetists, American Academy of Anesthesiologist Assistants, American College of Surgeons, American Society of Anesthesia Technologists and Technicians, American Society of PeriAnesthesia Nurses, Association of periOperative Registered Nurses, ECRI Institute, Food and Drug Administration Safe Use Initiative, National Patient Safety Foundation, The Joint CommissionCopyright ©2014 Anesthesia Patient Safety Foundation www.apsf.org

Anesthesia Patient Safety Foundation

OR Fire Prevention Algorithm